Comparison of postoperative complications between segmentectomy and lobectomy by video-assisted thoracic surgery: a multicenter study.

Details

Ressource 1Download: s13019-019-1021-9.pdf (515.87 [Ko])
State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_DCE4ECF705C2
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Comparison of postoperative complications between segmentectomy and lobectomy by video-assisted thoracic surgery: a multicenter study.
Journal
Journal of cardiothoracic surgery
Author(s)
Bédat B., Abdelnour-Berchtold E., Perneger T., Licker M.J., Stefani A., Krull M., Perentes J.Y., Krueger T., Triponez F., Karenovics W., Gonzalez M.
ISSN
1749-8090 (Electronic)
ISSN-L
1749-8090
Publication state
Published
Issued date
07/11/2019
Peer-reviewed
Oui
Volume
14
Number
1
Pages
189
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
Compared to lobectomy by video-assisted thoracic surgery (VATS), segmentectomy by VATS has a potential higher risk of postoperative atelectasis and air leakage. We compared postoperative complications between these two procedures, and analyzed their risk factors.
We reviewed the records of all patients who underwent anatomical pulmonary resections by VATS from January 2014 to March 2018 in two Swiss university hospitals. All complications were reported. A logistic regression model was used to compare the risks of complications for the two interventions. Adjustment for patient characteristics was performed using a propensity score, and by including risk factors separately.
Among 690 patients reviewed, the major indication for lung resection was primary lung cancer (86.4%) followed by metastasis resection (5.8%), benign lesion (3.9%), infection (3.2%) and emphysema (0.7%). Postoperatively, there were 80 instances (33.3%) of complications in 240 segmentectomies, and 171 instances (38.0%) of complications in 450 lobectomies (P = 0.73). After adjustment for the patient's propensity to be treated by segmentectomy rather than lobectomy, the risks of a complication remained comparable for the two techniques (odds ratio for segmentectomy 0.91 (0.61-1.30), p = 0.59). Length of hospital stay and drainage duration were shorter after segmentectomy. On multivariate analysis, an American Society of Anesthesiologists score above 2 and a forced expiratory volume in one second below 80% of predicted value were significantly associated with the occurrence of complications.
The rate of complications and their grade were similar between segmentectomy and lobectomy by VATS.
Keywords
Complication, Lobectomy, Segmentectomy, Video-assisted thoracic surgery
Pubmed
Web of science
Open Access
Yes
Create date
15/11/2019 21:58
Last modification date
05/01/2020 7:18
Usage data